#aag? ,,congress  #a/ ,session  ,9 !    
,h\se ( ,repres5tatives1 ,u4 ,s41       
,decemb] #g1 #bjba  ,,am5dm5t3  ,t !    
bill f ! ,s5ate 7,s4 #faj7 entitl$ ,an  
,act to address behavioral heal? &      
well-be+ among heal? c>e pr(essionals41 
d pass ) ! foll[+ ,/rike out all aft] ! 
enact+ clause & ins]t3  #a4 ,%ort title 
,?is ,act may be cit$ z ! ,protect+     
,m$ic>e & ,am]ican ,f>m]s f ,seque/]    
,cuts ,act4  #b4 ,adju/m5ts to ,m$ic>e  
seque/ration r$uctions  7a7 ,ext5sion ( 
tempor>y susp5sion ?r\gh ,m>* #bjbb     
7#a7 ,9 g5]al ,section #cgji7;a7 (      
division ,a ( ! ,,c>es ,act 7#b         
,u4,s4,c4 #ija;a note7 is am5d$--  7,a7 
9 ! subsection head] by ins]t+ &        
adju/m5t aft] susp5sion2 &  7,b7 by     
/rik+ ,decemb] #ca1 #bjba & ins]t+ ,m>* 
#ca1 #bjbb4  7#b7 ,effective date ,!    
am5dm5ts made by p>agraph 7#a7 %all take
 effect z if enact$ z "p ( ! ,,c>es ,act
 7,public ,law #aaf-acf74  7b7          
,adju/m5ts to ,m$ic>e program           
seque/ration r$uction ) respect to      

fiscal ye>s #bjbb & #bjcj ,section      
#bea;,a7#f7 ( ! ,balanc$ ,budget &      
,em]g5cy ,deficit ,control ,act ( #aihe 
7#b ,u4,s4,c4 #ija;a7#f77 is am5d$--    
7#a7 by r$esignat+ subp>agraph 7,c7 z   
subp>agraph 7,e72 &  7#b7 by ins]t+ aft]
 subp>agraph 7,b7 ! foll[+ new          
subp>agraphs3  7,c7 ,not)/&+ ! #b p]c5t 
limit specifi$ 9 subp>agraph 7,a7 =     
paym5ts = ! ,m$ic>e programs specifi$ 9 
section #bef7;d71 ! seque/ration ord] ( 
! ,presid5t "u su* subp>agraph = fiscal 
ye> #bjbb %all be appli$ to su* paym5ts 
s t ) respect to ! p]iod beg9n+ on      
,april #a1 #bjbb1 & end+ on ,june #cj1  
#bjbb1 ! paym5t r$uction %all be #a4j   
p]c5t4  7,d7 ,not)/&+ ! #b p]c5t limit  
specifi$ 9 subp>agraph 7,a7 = paym5ts = 
! ,m$ic>e programs specifi$ 9 section   
#bef7;d71 ! seque/ration ord] ( !       
,presid5t "u su* subp>agraph = fiscal   
ye> #bjcj %all be appli$ to su* paym5ts 
s t--  7i7 ) respect to ! fir/ #f mon?s 
9 :i* su* ord] is effective = su* fiscal
 ye>1 ! paym5t r$uction %all be #b4be   

p]c5t2 &  7ii7 ) respect to ! second #f 
mon?s 9 :i* su* ord] is s effective =   
su* fiscal ye>1 ! paym5t r$uction %all  
be #c p]c5t4  4  #c4 ,ext5sion ( support
 = physicians & o!r pr(essionals 9      
adju/+ to ,m$ic>e paym5t *anges  7a7 ,9 
g5]al ,section #ahdh ( ! ,social        
,security ,act 7#db ,u4,s4,c4 #aciew-#d7
 is am5d$-- 7#a7 9 subsection           
7c77#b77;,b77iv77,v71 by /rik+ #bjba &  
ins]t+ #bjba or #bjbb2 &  7#b7 9        
subsection 7t7-- 7,a7 9 ! subsection    
head]1 by /rik+ #bjba & ins]t+ #bjba &  
#bjbb2  7,b7 9 p>agraph 7#a7-- 7i7 by   
/rik+ dur+ #bjba & ins]t+ dur+ #bjba &  
#bjbb2 &  7ii7 by /rik+ = su* s]vices   
furni%$ on or aft] ,janu>y #a1 #bjba1 & 
be=e ,janu>y #a1 #bjbb1 by #c4ge p]c5t4 
& ins]t+ =--  7,a7 su* s]vices furni%$  
on or aft] ,janu>y #a1 #bjba1 & be=e    
,janu>y #a1 #bjbb1 by #c4ge p]c5t2 &    
7,b7 su* s]vices furni%$ on or aft]     
,janu>y #a1 #bjbb1 & be=e ,janu>y #a1   
#bjbc1 by #c4j p]c5t4  2 &  7,c7 9      
p>agraph 7#b77;,c7-- 7i7 9 ! subp>agraph

 head]1 by /rik+ #bjba & ins]t+ #bjba & 
#bjbb2  7ii7 by ins]t+ = s]vices furni%$
 9 #bjba or #bjbb aft] "u ?is           
subsection2 &  7iii7 by ins]t+ or #bjbb1
 respectively be=e ! p]iod at ! end4    
7b7 ,report ,section #aja7;c7 ( division
 ,n ( ! ,consolidat$ ,appropriations    
,act1 #bjba 7,public ,law #aaf-bfj7 is  
am5d$-- 7#a7 9 ! fir/ s5t5ce--  7,a7 by 
/rik+ ,april #a1 #bjbb & ins]t+ ea* (   
,april #a1 #bjbb1 & ,april #a1 #bjbc2 & 
7,b7 by /rik+ 1 z add$ by subsection 7a7
 & ins]t+ furni%$ dur+ #bjba or #bjbb1  
respectively2 &  7#b7 9 ! second        
s5t5ce-- 7,a7 by /rik+ ,su* report &    
ins]t+ ,ea* su* report2 &  7,b7 by      
ins]t+ ) respect to #bjba or #bjbb1 z   
applicable aft] "u su* section4  #d4    
,pres]v+ pati5t access to critical      
cl9ical lab s]vices  7a7 ,revis$ phase-9
 ( r$uctions f private payor rate       
implem5tation ,section #ahcd;,a7b77#c7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #aciem-#a7;b77#c77 is am5d$--  7#a7 9  
subp>agraph 7,a71 by /rik+ ?r\gh #bjbd &

 ins]t+ ?r\gh #bjbe2 &  7#b7 9          
subp>agraph 7,b7--  7,a7 9 clause 7ii71 
by /rik+ = #bjba & ins]t+ = ea* ( #bjba 
& #bjbb2 &  7,b7 9 clause 7iii71 by     
/rik+ #bjbb ?r\gh #bjbd & ins]t+ #bjbc  
?r\gh #bjbe4  7b7 ,revis$ ,report+      
,p]iod = ,report+ ( ,private ,sector    
,paym5t ,rates = ,e/abli%m5t ( ,m$ic>e  
,paym5t ,rates ,section                 
#ahcd;,a7a77#a77;,b7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#aciem-#a7;a77#a77;,b77 is am5d$-- 7#a7 
9 clause 7i71 by /rik+ ,decemb] #ca1    
#bjba & ins]t+ ,decemb] #ca1 #bjbb2 &   
7#b7 9 clause 7ii7-- 7,a7 by /rik+      
,janu>y #a1 #bjbb & ins]t+ ,janu>y #a1  
#bjbc2 &  7,b7 by /rik+ ,m>* #ca1 #bjbb 
& ins]t+ ,m>* #ca1 #bjbc4  #e4 ,delay to
 ! implem5tation ( ! radiation oncology 
model "u ! ,m$ic>e program ,section #acc
 ( ,division ,,cc ( ! ,consolidat$      
,appropriations ,act1 #bjba 7,public    
,law #aaf-bfj7 is am5d$ by /rik+ ,janu>y
 #a1 #bjbb & ins]t+ ,janu>y #a1 #bjbc4  
#f4 ,m$ic>e ,improvem5t ,fund ,section  

#ahih7;b77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie;iii7b77#a77 is    
am5d$ by /rik+ fiscal ye> #bjba & all t 
foll[s ?r\gh ! p]iod at ! end & ins]t+  
fiscal ye> #bjba1 #aja1jjj1jjj44  #g4   
,,paygo annual report ,= ! purposes ( ! 
annual report issu$ pursuant to section 
#e ( ! ,/atutory ,pay-,z-,y-,g ,act (   
#bjaj 7#b ,u4,s4,c4 #icd7 aft] adj\rnm5t
 ( ! fir/ session ( ! #aag? ,congress1 &
 = det]m9+ :e!r a seque/ration ord] is  
necess>y "u su* section1 ! debit = !    
budget ye> on ! #e-ye> scorec>d1 if any1
 & ! #aj-ye> scorec>d1 if any1 %all be  
d$uct$ f su* scorec>d 9 #bjbb & add$ to 
su* scorec>d 9 #bjbc4  #h4 ,exp$it$     
proc$ures = consid]+ an increase 9 !    
debt limit  7a7 ,def9ition ,9 ?is       
section1 ! t]m jo9t resolution means a  
jo9t resolution-- 7#a7 t is introduc$ by
 ! ,majority ,lead] ( ! ,s5ate1 or a    
designee1 dur+ ! p]iod beg9n+ on ! date 
( enactm5t ( ?is ,act & end+ on ,decemb]
 #ca1 #bjba2  7#b7 :i* does n h a       
preamble2  7#c7 ! title ( :i* is z      

foll[s3 ,jo9t resolution relat+ to      
increas+ ! debt limit42 &  7#d7 ! matt] 
aft] ! resolv+ clause ( :i* is z foll[s3
 ,t ! limitation "u section #caja7;b7 ( 
title #ca1 ,unit$ ,/ates ,code1 z mo/   
rec5tly increas$ by ,public ,law #aag-ej
 7#ca ,u4,s4,c4 #caja note71 is increas$
 by 41 ! blank space be+ appropriately  
fill$ 9 ) ! doll> am\nt ( ! increase4   
7b7 ,exp$it$ consid]ation 9 ,s5ate  7#a7
 ,placem5t on cal5d> ,^u introduction 9 
! ,s5ate1 ! jo9t resolution %all be     
plac$ imm$iately on ! cal5d>4  7#b7     
,proce$+ to consid]ation  7,a7 ,9 g5]al 
,not)/&+ rule ,,xxii ( ! ,/&+ ,rules ( !
 ,s5ate1 x is 9 ord]1 n lat] ?an ,janu>y
 #ae1 #bjbb 7ev5 ?\gh a previ\s motion  
to ! same effect has be5 disagre$ to7 to
 move to proce$ to ! consid]ation ( !   
jo9t resolution4  7,b7 ,proc$ure ,= a   
motion to proce$ to ! consid]ation ( !  
jo9t resolution--  7i7 all po9ts ( ord] 
aga9/ ! motion are waiv$2  7ii7 ! motion
 is n debatable2  7iii7 ! motion is n   
subject to a motion to po/pone2  7iv7 a 

motion to reconsid] ! vote by :i* !     
motion is agre$ to or disagre$ to %all n
 be 9 ord]2 &  7v7 if ! motion is agre$ 
to1 ! jo9t resolution %all rema9 !      
unf9i%$ bus9ess until dispos$ (4  7#c7  
,floor consid]ation  7,a7 ,9 g5]al ,if !
 ,s5ate proce$s to consid]ation ( ! jo9t
 resolution--  7i7 all po9ts ( ord]     
aga9/ ! jo9t resolution 7& aga9/        
consid]ation ( ! jo9t resolution7 are   
waiv$2  7ii7 debate on ! jo9t           
resolution1 & all debatable motions &   
appeals 9 connection !re)1 %all be      
limit$ to n m ?an #aj h\rs1 :i* %all be 
divid$ equally betwe5 ! ,*airman &      
,rank+ ,memb] ( ! ,committee on ,f9ance2
  7iii7 an am5dm5t to ! jo9t resolution 
is n 9 ord]2  7iv7 a motion to po/pone  
or a motion to commit ! jo9t resolution 
is n 9 ord]2 &  7v7 a motion to proce$  
to ! consid]ation ( o!r bus9ess is n 9  
ord]4  7,b7 ,vote on passage ,! vote on 
passage %all occur imm$iately foll[+ !  
conclusion ( ! debate on ! jo9t         
resolution & a s+le quorum call if      

reque/$ 9 accordance ) ! rules ( !      
,s5ate4  7,c7 ,rul+s ( ! *air on        
proc$ure ,appeals f ! decisions ( !     
,*air relat+ to ! application ( ?is     
p>agraph or ! rules ( ! ,s5ate1 z ! case
 may be1 to ! proc$ure relat+ to ! jo9t 
resolution %all be decid$ )\t debate4   
7,d7 ,s+le measure au?oriz$ ,x %all n be
 9 ord] to consid] m ?an #a jo9t        
resolution "u ! proc$ures "u ?is        
p>agraph4  7,e7 ,sunset ,x %all n be 9  
ord] to consid] a jo9t resolution "u !  
proc$ures "u ?is p>agraph aft] ,janu>y  
#af1 #bjbb4  7#d7 ,rules ( ! ,s5ate ,?is
 subsection is enact$ by ,congress--    
7,a7 z an ex]cise ( ! rulemak+ p[] ( !  
,s5ate1 & z su* is deem$ a "p ( ! rules 
( ! ,s5ate1 b applicable only ) respect 
to ! proc$ure to be foll[$ 9 ! ,s5ate 9 
! case ( a jo9t resolution1 & sup]s$e   
o!r rules only to ! ext5t t !y are      
inconsi/5t ) su* rules2 &  7,b7 ) full  
recognition ( ! con/itutional "r ( !    
,s5ate to *ange ! rules 7s f> z relat+  
to ! proc$ure ( ! ,s5ate7 at any "t1 9 !

 same mann]1 & to ! same ext5t z 9 !    
case ( any o!r rule ( ! ,s5ate4  ,cl]k4